Avera 69th Street Pharmacy is not a DME supplier for medicare equipments and products.
Avera 69th Street Pharmacy is a Pharmacy in Sioux Falls, South Dakota. This pharmacy is owned and operated by Avera Mckennan. It is located at 4400 W 69th St Ste 300, Sioux Falls and it's customer support contact number is 605-322-5948. The authorized person of Avera 69th Street Pharmacy is Darrel Mutchler, PHARMD who is Retail Pharmacy Manager of the pharmacy and his contact number is 605-322-8331. Active license number of Avera 69th Street Pharmacy is 4574 for Pharmacy in Iowa. Avera 69th Street Pharmacy is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Avera 69th Street Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Avera 69th Street Pharmacy
Type:
Pharmacy
Location:
4400 W 69th St Ste 300, Sioux Falls, South Dakota, 57108-8170
Phone:
605-322-5948
Fax:
605-322-5949
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Darrel Mutchler
Credentials:
PHARMD
Position:
Retail Pharmacy Manager
Contact Number:
605-322-8331
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1962787440
NPI Enumeration Date:
17 Oct, 2011
NPI Last Update On:
19 Jul, 2018
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Avera 69th Street Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Pharmacy
4574
Iowa
Primary
Pharmacy
100-1967
South Dakota
Secondary
Pharmacy
1020
Nebraska
Secondary
Community/Retail Pharmacy
054.019698
Illinois
Secondary
Specialty Pharmacy
264333
Minnesota
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2132318
Other
Pk
1962787440
Medicaid
Minnesota
1962787440
Medicaid
Iowa
1962787440
Medicaid
South Dakota
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4400 W 69th St Ste 300, Sioux Falls, South Dakota
Zip:
57108-8170
Phone Number:
605-322-5948
Fax Number:
605-322-5949
Patients can reach Avera 69th Street Pharmacy at 4400 W 69th St Ste 300, Sioux Falls, South Dakota or can call on customer care at 605-322-5948.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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